Masui. The Japanese journal of anesthesiology
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Difficult airway management (DAM) is one of the most important issues for anesthesiologists. The DAM practical seminar was held for the purpose of improving skill and ability for decision-making to the anesthesiologist's DAM. ⋯ The DAM practical seminar in the hospital is useful not only for perioperative team practice training, but also for improving the emergency call system.
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Comparative Study
[Comparison of the Pentax-AWS and Fineview video laryngoscopes in the ease of laryngoscopy in 50 patients].
We compared the Pentax-AWS and Fineview video laryngoscopes in the ease of laryngoscopy in 50 patients. ⋯ We conclude that the view of the glottis obtained using the Pentax-AWS was significantly better than the view obtained with the Fineview.
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Randomized Controlled Trial
[Effects of rikkunshito on the postoperative nausea and vomiting (PONV) after laparoscopic gynecological surgery].
Postoperative nausea and vomiting (PONV) is one of unignorable complications after general anesthesia. The aim of this study was to examine prophylactic effects of TSUMURA rikkunshito (TJ-43), a herbal medicine consisting of eight herbs, on PONV after laparoscopic surgery. ⋯ Perioperative administration of TJ-43 showed a possible effectiveness to reduce the severity of PONV and to promote earlier recovery of oral meal intake after gynecological laparoscopic surgery.
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Ochronosis is a rare disease. Usually symptoms appear in the third, fourth, or later decade of life. The most common symptom is arthropathy, but cardiovascular system can be involved in this disease. ⋯ We started rapid infusion of a plasma substitute, and gradually decreased the infusion rate of dopamine to 4 microg x kg(-1) x min(-1). Then electrocardiogram returned to first-degree atrioventricular block. We estimated that second-degree atrioventricular block in this patient might have been exaggerated by dopamine at least in part.
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Comparative Study
[Comparison of three kinds of less invasive cardiac output measuring systems in aged patients].
Recently, the number of operations for aged patients have been increasing. They usually have various preoperative complications especially cardiovascular systems, and cardiac output measuring under general anesthesia is useful for their operative managements. The aim of this study was to compare the accuracy of three kinds of less invasive equipments for cardiac output measurements, i.e. the impedance cardiography (ICG), the partial CO2 rebreathing (NICO), and the arterial pressure-based cardiac output (APCO). ⋯ Three kinds of less invasive cardiac output measurement systems have enough functions to use during surgery for aged patients.